Twenty-four-year-old Michael "Mitt" Fuller starts his surgical residency with great anticipation at the nearly three-hundred-year-old, iconic Bellevue Hospital, following in the footsteps of four previous, celebrated Fuller generations. The pressure is on for this newly minted doctor, and to his advantage he's always had a secret sixth sense, a sensitivity to the nonphysical, which gradually plays a progressive role, especially as one patient after another assigned to his care begin to die from mysterious causes. At first he thinks it is just the "luck of the draw," but as the numbers mount, he's forced to think otherwise. As he struggles to find out why these people are dying while simultaneously having to deal with the unreasonable demands of being first-year resident, things rapidly spiral out of control.

Between fatigue, stress, and nerves, it's no wonder that these first few days and nights of his surgical residency are tough ones. What is surprising, though, are the visions that begin to plague Mitt--visions of a little girl in a bloodstained dress, hearing bloodcurdling screams in the distance, and worse. As bodies mount and Mitt's stress level rises, he finds himself drawn into the secrets of the abandoned Bellevue Psychopathic Hospital building, which to his astonishment still exists, defying demolition a few doors north of the modern Bellevue Hospital high-rise. Forcing an unauthorized entry into this storied but scary structure, Mitt discovers he's more closely tied to the sins of the past than he ever thought possible.